Family history of hypertension increases risk of  preeclampsia in pregnant women: a case-control study

Endeshaw, Mulualem; Abebe, Fantu; Bedimo, Melkamu; Asrat, Anemaw; Gebeyehu, Abebaw; Keno, Alemayehu

doi:10.18051/univmed.2016.v35.181-191

Cited by 11 publications

(19 citation statements)

References 38 publications

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“…In this sub-categorical analysis, thirteen studies were included for the assessment of age as a risk factor for HDP [ 9 , 13 , 22 – 24 , 30 , 32 , 42 , 44 – 46 , 48 , 50 ]. Seven studies had shown statistical significant association between increased maternal age with HDP [ 9 , 22 , 23 , 30 , 32 , 44 , 49 ]. Whereas, two studies [ 13 , 45 ] had shown lower risk of HDP as maternal age increases whereas four studies [ 24 , 42 , 46 , 48 ] reported non-significant difference between younger and older mothers.…”

Section: Resultsmentioning

confidence: 99%

“…In this sub-categorical analysis, twelve studies were included for the assessment gravidity as a risk factor for HDP [ 7 – 9 , 13 , 28 , 42 , 43 , 45 – 49 ]. Five of the included studies had shown statistical significant association with primigravida and HDP [ 9 , 28 , 42 , 43 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five of the included studies had shown statistical significant association with primigravida and HDP [ 9 , 28 , 42 , 43 , 47 ]. Whereas, four studies [ 8 , 13 , 45 , 49 ] showed lower risk of HDP among primigravida women and three studies [ 7 , 46 , 48 ] showed non-significant difference. The pooled meta-regression analysis showed that there is no statistical significant difference in the occurrence of hypertensive disorders of pregnancy in the primigravida and multigravida women, OR = 1.27 (95% CI: 0.78, 2.41) ( Fig 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…In this sub-categorical analysis, fifteen studies were included for the assessment of family history of hypertension (HTN) as a risk factor for HDP [ 7 , 9 , 13 , 23 , 26 , 28 , 30 , 32 , 41 , 42 , 44 – 47 , 49 ]. Thirteen of the included studies had shown statistical significant association of family history of HTN with HDP [ 7 , 9 , 13 , 23 , 26 , 30 , 32 , 41 , 44 – 47 , 49 ]. Whereas, two studies [ 28 , 42 ] showed lower risk and non-significant association with the women having family history of HTN and HDP.…”

Section: Resultsmentioning

confidence: 99%

“…In this sub-categorical analysis, eleven studies were included for the assessment of family history of diabetes mellitus as a risk factor for HDP [ 9 , 22 , 28 , 30 , 32 , 42 , 44 – 47 , 49 ]. Seven of the included studies showed a statistically significant association of family history of diabetes mellitus with HDP [ 9 , 22 , 28 , 32 , 44 , 47 , 49 ]. While, one study [ 42 ] showed lower risk of HDP among pregnant women having family history of diabetes mellitus and three studies did not show significant association with HDP [ 30 , 45 , 46 ].…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

et al. 2020

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Introduction Hypertensive disorder of pregnancy is the second commonest causes of maternal death globally. Different public health studies were conducted on hypertensive disorder of pregnancy which presented inconsistent result. Therefore, this systematic review and meta-analysis was commenced to summarize the findings conducted in several parts of the country and to generate the nationwide representative data on the prevalence and risk factors of hypertensive disorder of pregnancy in Ethiopia. Methods and materials Electronic databases such as PubMed, Scopus, Google Scholar, Hinari, and African Journals Online were searched for studies published in English up to March, 2020. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument and Newcastle-Ottawa Scale were used for data extraction and quality assessment of the included studies. The meta- regression analysis was computed at 95% CI to present the pooled prevalence and risk factors of hypertensive disorder of pregnancy. Results Thirty four studies were included in this systematic review and meta-analysis. The pooled prevalence of hypertensive disorder of pregnancy and preeclampsia in Ethiopia were 6.82% (95% CI (5.90, 7.74)) and 4.74% (95% CI (3.99, 5.49)) respectively. Maternal age ≥35 years (Adjusted Odds Ratio (AOR): 2.91 (95% CI: 1.60, 5.26)), twin pregnancy (AOR: 3.04 (95% CI: 1.89, 4.87)), previous history of preeclampsia (AOR: 5.36 (95% CI: 3.37, 8.53)), family history of hypertension (AOR: 4.01 (95% CI: 2.65, 6.07)), family history of diabetes mellitus (AOR: 3.07 (95% CI: 1.66, 7.70)), body mass index ≥25 (AOR: 3.92 (95% CI: 1.82, 8.42)), alcohol consumption (AOR: 1.77 (95% CI: 1.11, 2.83)), urinary tract infection (AOR: 4.57 (95% CI: 3.47, 6.02)), lack of nutritional counseling during antenatal period (AOR: 4.87 (95% CI: 3.36, 7.06)), lack of fruits (AOR: 3.49 (95% CI: 2.29, 5.30)), and vegetables consumption (AOR: 2.94 (95% CI: 2.01, 4.31)) were the risk factors of hypertensive disorder of pregnancy in Ethiopia. Conclusions The pooled prevalence of hypertensive disorder of pregnancy is relatively higher compared with the previous reports. Maternal age ≥35 years, twin pregnancy, previous history of preeclampsia, family history of hypertension, family history of diabetes mellitus, body mass index ≥25, alcohol consumption, urinary tract infection, lack of fruits and vegetables during pregnancy were risk factors of hypertensive disorder of pregnancy. The governments and stakeholders should work to strengthen the antenatal care practice to include the possible risk factors of hypertensive disorders of pregnancy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

et al. 2020

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Determinants of pre‐eclampsia among pregnant women attending antenatal care and delivery services at Bahir Dar public hospitals, northwest Ethiopia: A case‐control study

Tesfa

Munshea

Nibret

et al. 2023

Health Science Reports

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Background and Aims: Pre-eclampsia (PE) is a pregnancy-related syndrome that occurs after 20 weeks of pregnancy. The current study was designed to evaluate the determinants of PE in pregnant women following antenatal and delivery services.Methods: An institution-based case-control study was performed in governmental hospitals of Bahir Dar city. The data were collected using an interview-administered questionnaire and analyzed by SPSS version 20 software. Bivariate and multivariable logistic regression models were utilized for the analysis of variables. A p < 0.05 was used to declare the level of significance.Results: In this study, the mean ages (in years) of cases and controls were 28.20 ± 5.66 and 27.52 ± 4.70, respectively. Factors such as: being primiparous

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Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region

Anto,

Boadu,

Gyamfi

et al. 2024

Public Health Challenges

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BackgroundDespite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population.MethodsThis hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant.ResultsA total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission.ConclusionThe rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.

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Family history of hypertension increases risk of preeclampsia in pregnant women: a case-control study

Cited by 11 publications

References 38 publications

Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis

Determinants of pre‐eclampsia among pregnant women attending antenatal care and delivery services at Bahir Dar public hospitals, northwest Ethiopia: A case‐control study

Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region

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